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Tue Jan 23 04:06:46 GMT 2007

Patient has NO fever.   We did get BARIUM  esophagogram.    Gastrographin is 
unreliable and contraindicated  as it is often followed with barrium.   I have 
seen many where the  gastrographin was negative, but the barium was positive. 
     We also got a formal aortogram and selective arteriograms of any 
suspecious  areas.   The CT and CTA were re-read after these other tests and  the 
radiologist who is strongest in support of CT, STILL says the CT adds NO NEW  
INFORMATION which was not present on the plane chest X-ray and was worthless  
WORTHLESS in determining any thing which might have been found on the aortogram  
or the esophagogram.    We planned to go to OR and do  esophagoscopy and 
bronchoscopy after the aortogram.    

I will tell you the results of these tests in the AM and then the questions  
for this case REALLY get interesting.     Get ready for many  more decision 
nodes.      

k

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